Effects of gender and diagnosis on addiction history, treatment utilization, and psychosocial functioning among a dually-diagnosed sample in drug treatment

Journal of Psychoactive Drugs

Volumn 35, Issue , 2003, Pages 169-179

  Grella, Christine E ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Addiction history; Drug treatment; Dual diagnosis; Gender; Psychosocial functioning

Indexed keywords

ALCOHOL; CANNABIS; OPIATE;

ADDICTION; ADULT; CONFERENCE PAPER; CRIME; DISTRESS SYNDROME; DRUG DEPENDENCE; FAMILY; FEMALE; HUMAN; INJURY; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MOOD DISORDER; MOTIVATION; PATIENT ATTITUDE; POSTTRAUMATIC STRESS DISORDER; PROSTITUTION; PSYCHOSIS; QUALITY OF LIFE; SELF CONCEPT; SEX DIFFERENCE; SOCIAL PSYCHOLOGY; SUBSTANCE ABUSE; TREATMENT PLANNING;

ADOLESCENT; ADULT; AGED; CASE-CONTROL STUDIES; COMORBIDITY; DEMOGRAPHY; DIAGNOSIS, DUAL (PSYCHIATRY); DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; EVALUATION STUDIES; FAMILY RELATIONS; FEMALE; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INCOME; MALE; MEDICAL HISTORY TAKING; MENTAL DISORDERS; MIDDLE AGED; PSYCHIATRIC DEPARTMENT, HOSPITAL; QUALITY OF LIFE; SELF CONCEPT; SEX; SUBSTANCE-RELATED DISORDERS; TREATMENT OUTCOME;

EID: 0038278586     PISSN: 02791072     EISSN: 21599777     Source Type: Journal    
DOI: 10.1080/02791072.2003.10400512     Document Type: Article

References (77)

1. Alexander, M.J. 1996. Women with co-occurring addictive and mental disorders: An emerging profile of vulnerability. American Journal of Orthopsychiatry 66 (1): 61-70.
2. Amaro, H. & Hardy-Fanta, C. 1995. Gender relations in addiction and recovery. Jourrnal of Psychoactive Drugs 27 (4): 325-37.
3. Anglin, M.D.; Hser, Y.-I. & Booth, M.W. 1987. Sex differences in addict careers: 4. Treatment. American Journal of Drug &: Alcohol Abuse 13 (3): 253-80.
4. Anglin, M.D.; Hser, Y.-I. & Grella, C.E. 1997. Drag addiction and treatment careers among clients in the Drug Abuse Treatment Outcome Study (DATOS). Psychology of Addictive Behaviors 11 (4): 308-23.
5. Anglin, M.D.; Hser, Y.-I.; Grella, C.E.; Longshore, D. & Prendergast, M. 2001. Drug treatoent c: Conceptual overview and clinical, research, and policy applications. In: F.M. Tirns & C.G. Leukefeld (Eds.) Relapse and Recovery in Addictions. New Haven, Connecticut: Yale University Press.
6. Anglin, M.D.; Hser, Y.-I. & McGlothlin, W.H. 1987. Sex differences in addict careers: 2. Becoming addicted. American Journal of Drug & Alcohol Abuse 13 (1-2): 59-71.
7. Annis, H.M. & Graham, J.M. 1988. Situational Confidence Questionnaire. Toronto, Canada: Addiction Research Foundation.
8. Arfken, C.L.; Klein, C.; di Menza, S. & Schuster, C.R. 2001. Gender differences in problem severity at assessment and treatment retention. Journal of Substance Abuse Treatment 20 (I): 53-7.
9. Back, S.; Dansky, B.S.; Coffey, S.F.; Saladin, M.E.; Sonne, S. & Brady, K.T. 2000. Cocaine dependence with and without posttraumatic stress disorder: A comparison of substance use, trauma history, and psychiatric comorbidity. American Journal on Addictions 9 (1): 5162.
10. Beckman, L.J. & Amaro, H. 1986. Personal and social difficulties faced by women and men entering alcoholism treatment. Journal of Studies on Alcohol 41 (2): 135-45.
11. Boyd, C.J. & Mieczkowski, T. 1990. Drug use, health, family and social support in “crack” cocaine users. Addictive Behaviors 15 (5): 48185.
12. Brady, K.T.; Grice, D.E.; Dustan, L. & Randall, C. 1993. Gender differences in substance use disorders. American Journal of Psychiatry 150 (2): 1707-11.
13. Brady, K.T.; Killeen, T.; Saladin, M.E.; Dansky, B. & Becker, S. 1994. Comorbid substance abuse and posttraumatic stress disorder: Characteristics of women in treatment. American Journal on Addictions 3 (2): 160-64.
14. Brown, P.J.; Stout, R.L. & Mueller, T. 1999. Substance use disorder and posttraumatic stress disorder comorbidity: Addiction and psychiatric treatment rates. Psychology of Addictive Behaviors 13 (2): 115-22.
15. Brown, P.J. & Wolfe, J. 1994 Substance abuse and post-traumatic stress disorder comorbidity. Drug and Alcohol Dependence 35: 51-59.
16. Brown, V.B.; Melchior, L.A.; Panter, A.T.; Slaughter, R. & Huba, G.J. 2000. Women's steps of change and entry into drug abuse treatment: A multidimensional stages of change model. Journal of Substance Abuse Treatment 18 (3): 231-40.
17. Brunette, M.F. & Dean, W. 2002. Community mental health care for women with severe mental illness who are parents. Community Mental Health Journal 38 (2): 153-65.
18. Brunette, M. & Drake, R.E. 1998. Gender differences in homeless persons with schizophrenia and substance abuse. Community Mental Health Journal 34 (6): 627-42.
19. Compton, W.M.; Cottier, L.B.; Ben Abdallah, A.; Phelps, D.L.; Spitznagel, E.L. & Horton, J.C. 2000. Substance dependence and other psychiatric disorders among drug dependent subjects: Race and gender correlates. American Journal on Addictions 9 (2): 113-25.
20. Comtois, K.A. & Ries, R.K. 1995. Sex differences in dually diagnosed severely mentally ill clients in dual diagnosis outpatient treatment. American Journal on Addictions 4 (3): 245-53.
21. Derogatis, L.R. & Melisaratos, N. 1983. The Brief Symptom Inventory: An introductory report. Psychological Medicine 13: 595-605.
22. Drake, R.E.; Essock, S.M.; Shaner, A.; Carey, K.B.; Minkoff, K.; Kola, L.; Lynde, D.; Osher, F.C.; Clark, R.E. & Rickards, L. 2001. Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services 52 (4): 469-76.
23. Drake, R.E.; Mueser, K.T.; Clark, R.E. & Wallach, M.A. 1996. The course, treatment, and outcome of substance disorder in persons with severe mental illness. American Journal of Orthopsychiatry 66: 42-51.
24. Drake, R.E. & Wallach, M.A. 2000. Dual diagnosis: 15 years of progress. Psychiatric Services 51 (9): 1126-29.
25. First, M.B.; Spitzer, R.L.; Gibbon, M. & Williams, J. 1997. Structured Clinical Interview for DSM-IV Axis I Disorders: Patient Edition (SCID-1/P, Version 2.0, 4197Rev.). New York: Biometrics Research, New York State Psychiatric Institute.
26. Fullilove, M.T.; Fullilove, R.E.; Smith, M.; Winkler, K.; Michael, C.; Panzar, P.G. & Wallace, R. 1993. Violence, trauma, and posttraumatic stress disorder among women drug users. Journal of Traumatic Stress 4: 533-43.
27. Garg, N.; Yates, W.R.; Jones, R.; Zhou, M. & Williams, S. 1999. Effect of gender, treatment site and psychiatric comorbidity on quality of life outcome in substance dependence. American Journal on Addictions 8 (1): 44-54.
28. Gearon, J.S. & Bellack, A.S. 1999. Women with schizophrenia and cooccurring substance use disorders: An increased risk for violent victimization and HIV. Community Mental Health Journal 35 (5): 401-19.
29. Goodman, L.A.; Rosenberg, S.D.; Mueser, K.T. & Drake, R.E. 1997. Physical and sexual assault history in women with serious mental illness: Prevalence, correlates, treatment, and future research directions. Schizophrenia Bulletin, 23 (4): 685-96.
30. Goodman, L.A.; Salyers, M.P.; Mueser, K.T.; Rosenberg, S.D.; Swartz, M.; Essock, S.M.; Osher, F.C.; Butterfield, M.I. & Swanson, J. 2001. Recent victimization in women and men with severe mental illness: Prevalence and correlates. Journal of Traumatic Stress 14 (4): 615-32.
31. Grella, C.E. 1996. Background and overview of mental health and substance abuse treatment systems: Meeting the needs of women who are pregnant or parenting. Journal of Psychoactive Drugs 28 (4): 319-43.
32. Grella, C.E. & Gilmore, J. 2002. Improving service delivery to the dually diagnosed in Los Angeles County. Journal of Substance Abuse Treatment 23 (2): 115-22.
33. Grella, C.E. & Joshi, V. 1999. Gender differences in drug treatment careers among clients in the national Drug Abuse Treatment Outcome Study. American Journal of Drug & Alcohol Abuse 25 (3): 385-406.
34. Grella, C.E.; Joshi, V. & Anglin, M.D. 2003. Gender differences and treatment outcomes among methadone maintenance patients in the Drug Abuse Treatment Outcome Study. Journal of Maintenance in the Addictions 2 (1/2): 103-28.
35. Grella, C.E.; Joshi, V. & Hser, Y.-I. 2003. Treatment outcomes for cocaine-dependent men and women with antisocial personality disorder in DATOS. Manuscript under review.
36. Grella, C.E.; Scott, C.K.; Foss, M.A.; Joshi, V. & Hser, Y.-I. In press. Gender differences in drug treatment outcomes among participants in the Chicago Target Cities Study. Evaluation and Program Planning.
37. Griffin, M.L.; Weiss, R.D.; Mirin, S.M. & Lange, U. 1989. A comparison of male and female cocaine abusers. Archives of General Psychiatry 46 (2): 122-26.
38. Halikas, J.A.; Crosby, R.D.; Pearson, V.L.; Nugent, S.M. & Carlson, G.A. 1994. Psychiatric comorbidity in treatment-seeking cocaine abusers. American Journal on Addictions 3 (1): 25-35.
39. Hien, D.; Zimberg, S.; Weisman, S.; First, M. & Ackerman, S. 1997. Dual diagnosis subtypes in urban substance abuse and mental health clinics. Psychiatric Services 48 (8): 1058-63.
40. Hser, Y.-I.; Anglin, M.D. & McGlothlin, W. 1987. Sex differences in addict careers. I. Initiation of use. American Journal of Drug & Alcohol Abuse 13 (1&2): 33-57.
41. Hser, Y.-I.; Anglin, M.D.; Grella, C.; Longshore, D. & Prendergast, M.L. 1997. Drugtreatment careers: A conceptual framework and existing research findings. Journal of Substance Abuse Treatment 14 (6): 543-58.
42. Kessler, R.C.; Aguilar-Gaxiola, S.; Berglund, P.A.; Caraveo-Anduaga, J.J.; DeWit, D.J.; Greenfield, S.F.; Kolody, B.; Olfson, M. & Vega, W.A. 2001. Patterns and predictors of treatment seeking after onset ofa substance use disorder. Archives of General Psychiatry 58 (2): 1065-71.
43. Kessler, R.C.; Nelson, C.B.; McGonagle, K.A.; Edlund, M.J.; Frank, R.G. & Leaf, P.J. 1996. The epidemiology ofco-occurring addictive and mental disorders: Implications for prevention and service utilization. American Journal of Orthopsychiatry 66: 17-31.
44. Kline, A. 1996. Pathways into drug user treatment: The influence of gender and racial/ethnic identity. Substance Use & Misuse 31 (3): 323-42.
45. Koegel, P.; Sullivan, G.; Burnam, A.; Morton, S.C. & Wenzel, S. 1999. Utilization of mental health and substance abuse services among homeless adults in Los Angeles. Medical Care 37 (3): 306-17.
46. Kosten, T.A; Gawin, F.H.; Kosten, T.R. & Rounsaville, B.J. 1993. Gender differences in cocaine use and treatment response. Journal of Substance Abuse Treatment 10 (1): 63-66.
47. Laudet, A.B.; Magura, S.; Vogel, H.S. & Knight, E. 2000a. Recovery challenges among dually diagnosed individuals. Journal of Substance Abuse Treatment 18 (4): 321-29.
48. Laudet, A.B.; Magura, S.;Vogel, H.S. & Knight, E. 2Wb. Support, mutual aid and recovery from dual diagnosis. Community Mental Health Journal 36 (5): 457-76.
49. Lehman, A.F. 1996. Heterogeneity of person and place: Assessing cooccurring addictive and mental disorders. American Journal of Orthopsychiatry 66 (1): 32-41.
50. Lehman, A.F. 1988. A quality of life interview for the chronically mentally ill. Evaluation and Program Planning 11: 51-62.
51. Lehman, A.F. 1983. The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill. Evaluation and Program Planning 6: 143-51.
52. Lehman, A.F.; Myers, C.P. & Corty, E. 1989. Assessment and classification of patients with psychiatric and substance abuse syndromes. Hospital & Community Psychiatry 40 (10): 1019-25.
53. Lehman, A.F.; Myers, C.P.; Dixon, L.B. & Johnson, J.L. 1994. Defining subgroups of dual diagnosis patients for service planning. Hospital & Community Psychiatry 45 (6): 556-61.
54. Luthar, S.S.; Cushing, G. & Rounsaville, B.J. 1996. Gender differences among opioid abusers: Pathways to disorder and profiles of psychopathology. Drug and Alcohol Dependence 43 (3): 179-89.
55. Mercier, C.; Peladeau, N. & Tempier, R. 1998. Age, gender, and quality of life. Community Mental Health Journal 34 (5): 487-500.
56. Minkoff, K. 2001. Best practices: Developing standards of care for individuals with co-occurring psychiatric and substance use disorders. Psychiatric Services 52: 597-99.
57. Minkoff, K. 1989. An integrated treatment model for dual diagnosis of psychosis and addiction. Hospital & Community Psychiatry 40: 1031-36.
58. Morris, S.K. & Schinke, S.P 1990. Treatment needs and services for mothers with a dual diagnosis: Substance abuse and mental illness. Journal of Offender Counseling, Services, and Rehabilitation 15 (1): 65-84.
59. Mueser, K.T. & Fox, L. 2002. A family intervention program for dual disorders. Community Mental Health Journal 38 (3): 253-70.
60. Mueser, K.T.; Drake, R.E. & Wallach, M.A. 1998. Dual diagnosis: A review of etiological theories. Addictive Behaviors 23 (6): 717-34.
61. Mueser, K.T.; Rosenberg, S.D.; Goodman, L.A. & Trumbetta, S.L. 2002. Trauma, PTSD, and the course of severe mental illness: An interactive model. Schizophrenia Research 53: 123-43.
62. Mueser, K.T.; Goodman, L.B.; Trumbetta, S.L.; Rosenberg, S.D.; Osher, C.; Vidaver, R., Auciello, P. & Foy, D.W. 1998. Trauma and posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology 66 (3): 493-99.
63. Najavits, L.M.; Weiss, R.D. & Shaw, S.R. 1999. A clinical profile of women with posttraumatic stress disorder and substance dependence. Psychology of Addictive Behaviors 13 (2): 98-104.
64. Nunes, E. V. & Deliyannides, D.A. 1993. Research issues in dual diagnosis. In: J. Solomon, S. Zimberg, & E. Shollar (Eds.) Dual Diagnosis: Evaluation, Treatment, Training, and Program Development. New York: Plenum Medical Book Company.
65. Primm, A.B.; Gomez, M.B.; Tzolova-Iontchev, I.; Perry, W.; Vu, H.T. & Crum, R.M. 2000. Mental health versus substance abuse treatment programs for dually diagnosed patients. Journal ofSubstanceAbuse Treatment 19 (3): 285-90.
66. Prochaska, J.O. & DiClemente, C.C. 1986. Toward a comprehensive model of change. In: W.R. Miller & N. Heather (Eds.) Treating Addictive Behaviors: Processes of Change. New York: Plenum Press.
67. Rosenheck, R. & Lam, J.A. 1997. Homeless mentally ill clients' and providers' perceptions of service needs and clients' use of services. Psychiatric Services 48 (3): 381-86.
68. Schober, R. & Annis, H.M. 1996. Barriers to help-seeking for change in drinking: A gender-focused review of the literature. Addictive Behaviors 21 (1): 81-92.
69. Simpson, D.D. & Joe, G.W. (1993). Motivation as a predictor of early dropout from drug abuse treatment. Psychotherapy 30: 357-68.
70. Thorn, B. 1987. Sex differences in help-seeking for alcohol problems: II. Entry into treatment. British Journal of Addiction 82 (9): 989-97.
71. Thorn, B. 1986. Sex differences in help-seeking for alcohol problems: I. The barriers to help-seeking. British Journal of Addiction 81 (6): 777-88.
72. Ventura, J.; Liberman, R.P.; Green, M.F.; Shaner, A. & Mintz, J. 1998. Training and quality assurance withthe structured clinical interview for DSM-JV (SCJD-UP). Psychiatry Research 19 (2): 163-73.
73. Wechsberg, W.M.; Craddock, S.G. & Hubbard, R.L. 1998. How are women who enter substance abuse treatment different than men? A gender comparison from the Drug Abuse Treatment Outcome Study (DATOS). Drugs & Society 13 (1/2): 97-115.
74. Weisner, C. & Schmidt, L. 1992. Gender disparities in treatment for alcohol problems. Journal of the American Medical Association 268: 1872-76.
75. Wilcox, J.A. & Yates, W.R. 1993. Gender and psychiatric comorbidity in substance-abusing individuals. American Journal on Addictions 2 (3): 202-06.
76. Young, N. & Grella, C.E. 1998. Mental health and substance abuse treatment services for dually diagnosed clients: Results of a statewide survey of county administrators. Journal of Behavioral Health Services and Research 25 (1): 83-92.
77. Zimberg, S. 1999. A dual diagnosis typology to improve diagnosis and treatment of dual disorder patients. Journal of Psychoactive Drugs 31 (1): 47-51.